Parental asthma occurrence, exacerbations and risk of attention-deficit/hyperactivity disorder.
Adolescent
Adult
Asthma
/ complications
Attention Deficit Disorder with Hyperactivity
/ etiology
Child
Child, Preschool
Cohort Studies
Denmark
Female
Humans
Male
Maternal Exposure
/ adverse effects
Maternal-Fetal Exchange
/ physiology
Parents
Pregnancy
Prenatal Exposure Delayed Effects
/ immunology
Proportional Hazards Models
Registries
Risk Factors
Asthma
Attention-deficit/hyperactivity disorder
Cohort studies
Registries
Journal
Brain, behavior, and immunity
ISSN: 1090-2139
Titre abrégé: Brain Behav Immun
Pays: Netherlands
ID NLM: 8800478
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
08
07
2019
revised:
19
08
2019
accepted:
29
08
2019
pubmed:
3
9
2019
medline:
17
9
2020
entrez:
3
9
2019
Statut:
ppublish
Résumé
To investigate whether intrauterine exposure to maternal asthma or asthma exacerbations increases the risk of attention-deficit/hyperactivity disorder (ADHD). Using Danish register data, this cohort study comprised of 961,202 live singletons born in Denmark during 1997-2012. Children were followed to a maximum of 20.0 years from birth until the first of ADHD-diagnosis/prescription, emigration, death, or 31 December 2016. Cox regression models were used to evaluate the association between maternal or paternal asthma, asthma exacerbations and offspring ADHD. During 11.4 million person-years of follow-up, 27,780 (2.9%) children were identified as having ADHD. ADHD risk was increased among offspring born to asthmatic mothers (hazard ratio (HR) 1.41, 95% CI: 1.36-1.46) or asthmatic fathers (HR 1.13, 95% CI: 1.08-1.18). Antenatal antiasthma medication treatment did not increase offspring ADHD. However, higher risks were observed among offspring of mothers with asthma exacerbations compared with children of asthmatic mothers with no exacerbations: HR 1.12 (95% CI: 1.00-1.25) for pre-pregnancy exacerbations; 1.21 (95% CI: 1.00-1.47) for exacerbations during pregnancy; and 1.25 (95% CI: 1.08-1.44) for exacerbations after delivery. These results support theories regarding shared genetic and environmental risk factors having a role in the development of ADHD.
Identifiants
pubmed: 31476415
pii: S0889-1591(19)30738-X
doi: 10.1016/j.bbi.2019.08.198
pmc: PMC7408292
mid: NIHMS1544291
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
302-308Subventions
Organisme : NIEHS NIH HHS
ID : R01 ES026993
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD082078
Pays : United States
Organisme : NIH HHS
ID : UG3 OD023337
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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